(DD13-14) Testlet PDF

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Part I Testlet
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any information storage and retrieval system, without permission in writing from the au-
thor and publisher.
Part I
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Part I Testlet
thor and publisher.
Occlusion chart
Maxillary
1P 2P 1M 2M
M O O C O C
D D C O C O
1P 2P 1M 2M
Mandibular
MBuccal cusp of the md. 1st premolar occludes with the Mesial marginal ridge of the mx. 1st premolar
OBuccal cusp of the md. 2nd premolar occludes with the Occlusal embrasure of the mx. 1st and 2nd premolars
OMesiobuccal cusp of the md. 1st molar occludes with the Occlusal embrasure of the mx. 2nd premolar and mx. 1st molar
CDistobuccal cusp of the md. 1st molar occludes with the Central fossa of the mx. 1st molar
OMesiobuccal cusp of the md. 2nd molar occludes with the Occlusal embrasure of the mx. 1st and 2nd molars
CDistobuccal cusp of the md. 2nd molar occludes with the Central fossa of the mx. 2nd molar
DLingual cusp of the mx. 1st premolar occludes with the Distal marginal ridge of the md. 1st premolar
DLingual cusp of the mx. 2nd premolar occludes with the Distal marginal ridge of the md. 2nd premolar
CMesiolingual cusp of the mx. 1st molar occludes with the Central fossa of the md. 1st molar
ODistolingual cusp of the mx. 1st molar occludes with the Occlusal embrasure of the md. 1st and 2nd molars
CMesiolingual cusp of the mx. 2nd molar occludes with the Central fossa of the md. 2nd molar
ODistolingual cusp of the mx. 2nd molar occludes with the Occlusal embrasure of the md. 2nd and 3rd molars (if present)
Occlusion chart
Maxillary
1P 2P 1M 2M
M O O C O C
D D C O C O
1P 2P 1M 2M
Mandibular
Universal tooth numbering system.
Teeth numbering chart for adult teeth.
Upper left Upper right
A few tips on how to prepare for the Clinical Vignette

portion of the NBDE Part I exam:
1. There are 10 Case Scenarios, and each case has 10 questions cov-
ering Anatomy, Microbiology, Biochemistry,Physiology, Pathology,
and Dental Anatomy. The Vignettes are composed of the follow-
ing components:
A paragraph of patient chief complaint and dental history
A chart of patient's medical history and medication usage
lower left lower right
Orientation of the Universal tooth numbering chart is traditionally "patient's You will have to click on a button to make the patient medical his-
view", i.e. patient's right corresponds to tooth chart's right side. The designations tory chart visible. Sometimes the chart contains valuable information
"left" and "right" on the chart correspond to the patient's left and right, respec- that you will need to answer some of the questions, but not all the
tively. questions need that information.
Universal tooth numbering system. 2. The questions are clinically oriented rather than straight memo-
Teeth numbering chart for deciduous (primary) teeth. rization. The diseases in the case scenarios are MOSTLY common
Upper left Upper right ones patients present with on your dental schools clinic floor. Be
careful with cases such as diabetes, asthma, fractures, bone lesions
etc... Moreover, a lot of dental management, ethics and dental
anatomy questions were blended in.
3. Primary and permanent teeth are not given straight out, rather,
they are referred to as tooth #17, or tooth K etc. It might be beneficial
to write down a teeth number chart along with the occlusion chart
during the tutorial period (see back two pages of this testlet booklet
for examples).
Lower left Lower right


ing components:
for examples).

CASE SCENARIO 1 ANSWER KEYS
Age 45 YRS Scenario
Sex Female The patient presents
Height 56 with localized swelling
ANSWER KEY CASES 1 5
around tooth #2. There is
Question Answer Question Answer Question Answer Question Answer Question Answer
Weight 120 lbs. an abscess, and a large
Case 1 Case 2 Case 3 Case 4 Case 5
B/P 115/65 carious lesion that ex-
1 D 1 C 1 B 1 A 1 A
Localized swelling, sharp tends to the pulp.
Chief Complaint 2 D 2 C 2 B, C, D 2 C 2 C
pain 3 E 3 B, C, E 3 C 3 A 3 B
4 B 4 C 4 C 4 E 4 D
Medical History Hypothyroidism
5 B, E, F 5 A 5 D 5 A 5 A, E
Current Medications Synthroid 6 C 6 C 6 B 6 D 6 D
Social History Housewife 7 C 7 E 7 A 7 C 7 E

8 B 8 D 8 E 8 D 8 B
9 A 9 D 9 D 9 E 9 C
1. Which of the following is the most common cause of this patients autoim-
10 D 10 A 10 D 10 D 10 A
mune disease?
A. Graves disease
B. Thyroid adenoma
C. Pituitary adenoma
D. Hashimotos thyroiditis

2. Which of the following is the primary etiologic factor of dental caries? Question Answer Question Answer Question Answer Question Answer Question Answer
A. Lactobacillus sp. Case 6 Case 7 Case 8 Case 9 Case 10
B. P. gingivalis 1 D 1 B 1 C 1 A 1 D
C. Actinomyces sp. 2 C, D, F 2 C 2 C 2 B, E, G 2 D
D. S. mutans 3 D 3 D 3 B 3 C 3 E
E. T. denticola 4 D 4 D 4 A 4 B 4 C
5 C 5 C 5 E 5 A 5 C
6 D 6 A 6 C 6 C 6 C
3. Each of the following are symptoms of hypothyroidism EXCEPT one. Which 7 A 7 E 7 E 7 D 7 A
one is the EXCEPTION? 8 E 8 D 8 A, B, E 8 B 8 D
A. Cold intolerance 9 C 9 C 9 D 9 E 9 B
B. Weight gain 10 D 10 D 10 B 10 D 10 E
C. Mental slowing
D. Dry skin
E. Restlessness
CASE SCENARIO 1 ANSWER KEYS

Age 45 YRS Scenario
Sex Female The patient presents
Height 56 with localized swelling
around tooth #2. There is
Weight 120 lbs. an abscess, and a large
B/P 115/65 carious lesion that ex-
1 D 1 C 1 B 1 A 1 A
Localized swelling, sharp tends to the pulp.
Chief Complaint 2 D 2 C 2 B, C, D 2 C 2 C
pain 3 E 3 B, C, E 3 C 3 A 3 B
4 B 4 C 4 C 4 E 4 D
Medical History Hypothyroidism
5 B, E, F 5 A 5 D 5 A 5 A, E
Current Medications Synthroid 6 C 6 C 6 B 6 D 6 D
Social History Housewife 7 C 7 E 7 A 7 C 7 E

8 B 8 D 8 E 8 D 8 B
9 A 9 D 9 D 9 E 9 C
1. Which of the following is the most common cause of this patients autoim-
10 D 10 A 10 D 10 D 10 A
mune disease?
A. Graves disease
B. Thyroid adenoma
C. Pituitary adenoma
D. Hashimotos thyroiditis

2. Which of the following is the primary etiologic factor of dental caries? Question Answer Question Answer Question Answer Question Answer Question Answer
A. Lactobacillus sp. Case 6 Case 7 Case 8 Case 9 Case 10
B. P. gingivalis 1 D 1 B 1 C 1 A 1 D
C. Actinomyces sp. 2 C, D, F 2 C 2 C 2 B, E, G 2 D
D. S. mutans 3 D 3 D 3 B 3 C 3 E
E. T. denticola 4 D 4 D 4 A 4 B 4 C
5 C 5 C 5 E 5 A 5 C
6 D 6 A 6 C 6 C 6 C
3. Each of the following are symptoms of hypothyroidism EXCEPT one. Which 7 A 7 E 7 E 7 D 7 A
one is the EXCEPTION? 8 E 8 D 8 A, B, E 8 B 8 D
A. Cold intolerance 9 C 9 C 9 D 9 E 9 B
B. Weight gain 10 D 10 D 10 B 10 D 10 E
C. Mental slowing
D. Dry skin
E. Restlessness
7. Which of the following disorders is characterized by a qualitative platelet de-
fect resulting in impaired platelet adhesion?
A. von Willebrands
B. Hemophilia A
C. Hemophilia B
D. Hemophilia C
8. Which of the following primary teeth is MOST likely to be mobile in this patient
due to the eruption of the succedaneous tooth?
A. F
B. G
C. H
D. I
9. This patients poor habit is often associated with which of the following mal-
occlusions?
A. Class I
B. Class II, division I
C. Class II, division II
D. Class III
10. During this patients orthodontic treatment, new alveolar bone is deposited.
Which of the following BEST describes this type of alveolar bone?
A. Woven
B. Compact
C. Cementum
D. Endochondral
E. Intramembranous
7. Which of the following disorders is characterized by a qualitative platelet de- 4. In primary hypothyroidism, the pituitary does not make enough TSH.
fect resulting in impaired platelet adhesion? Hypothyroidism aects males more than females.
A. von Willebrands A. Both statements are true
B. Hemophilia A B. Both statements are false
C. Hemophilia B C. The first statement is true, the second is false
D. Hemophilia C D. The first statement is false, the second is true
8. Which of the following primary teeth is MOST likely to be mobile in this patient 5. From the following list select the THREE symptoms associated with this
due to the eruption of the succedaneous tooth? patients autoimmune disorder.
A. F A. Weight loss
B. G B. Dry skin
C. H C. Diarrhea
D. I D. Tearing
9. This patients poor habit is often associated with which of the following mal- 6. The abscess around tooth #2 may result in which of the following life-threat-
occlusions? ening situations?
A. Class I A. Hyperalgesia
B. Class II, division I B. Hypoalgesia
C. Class II, division II C. Ludwigs angina
D. Class III D. Non-vital pulp
E. Referred pain
Which of the following BEST describes this type of alveolar bone? 7. Which of the following nerve fibers is responsible for the patients sharp pain
A. Woven around tooth #2?
B. Compact A. A alpha
C. Cementum B. A beta
D. Endochondral C. A delta
E. Intramembranous D. B
E. C
8. If the patient elects root canal therapy for tooth #2, which of the following
best describes the MOST likely presentation of the pulp canals?
A. Three canals, one in each root
B. Four canals, two in the mesial-buccal, one in the distal-buccal, one in the
palatal
C. Four canals, one in the mesial-buccal, two in the distal-buccal, one in the
palatal
D. Four canals, one in the mesial-buccal, one in the distal-buccal, two in the
palatal
E. Five canals, two in the mesial-buccal, two in the distal-buccal, one in the
palatal
9. Which of the following is an acute inflammatory lesion consisting of a localized 2. Hemophilia is characterized by each of the following EXCEPT one. Which one
collection of pus surrounded by a fibrous wall? is the EXCEPTION?
A. Abscess A. Increased PTT
B. Granuloma B. Normal PT
C. Cyst C. Normal Bleeding time
D. Cellulitis D. Decreased INR
10. If the patient elects to have tooth #2 extracted, sectioning may be required. 3. If this patients supragingival plaque continues to move apically, it will FIRST
The practitioner should be aware of which of the following furcations? disrupt which of the following tissues?
A. One A. Principal fibers
B. Two mesial and distal B. Sharpeys fibers
C. Two buccal and lingual C. Attachment of gingival epithelium
D. Three mesial, distal, buccal D. Attachment of sulcular epithelium
E. Three mesial, distal, lingual E. Attachment of junctional epithelium
4. All clotting factors are made in the liver. Factors II, VII, X, and XI are vitamin K
CASE SCENARIO 2 dependent.
A. Both statements are true
Age 19 YRS Scenario B. Both statements are false
C. The first statement is true, the second is false
Sex Male The patient presents for a D. The first statement is false, the second is true
Height 59 6-month recall appoint-
ment. He reports pain 5. Christmas disease is characterized by a decrease in which of the following fac-
Weight 140 lbs. around tooth #18. Oral tors?
B/P 125/75 exam shows gingival A. II
Chief Complaint The teeth in the back swelling and erythema B. VII
hurt!
around partially erupted C. IX
tooth #17. D. X
Medical History Asthma E. XI
Current Medications Formoterol Fumarate
6. To properly align the mandibular lateral incisor and the mandibular canine,
Albuterol inhaler
the orthodontist will ensure that the distal surface of the mandibular lateral in-
Social History Student cisor contacts what area of the mesial surface of the mandibular canine?
A. Cervical line
1. In reviewing the patients medical history, you note that he was hospitalized B. Mesio-incisal line angle
3 years ago due to a severe asthma attack. This can lead to death from which of C. Incisal third
the following? D. Middle third
A. Respiratory alkalosis E. Cervical third
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
hurt!
tooth #17. D. X
Albuterol inhaler
A. Cervical line
9. How many lobes are present in this patients tooth #9? 2. Before extracting tooth #17, surgery is done to expose the entire crown of the
A. 0 tooth. Which of the following should the dentist expect to see?
B. 1 A. The buccal-lingual and mesial-distal dimensions of the crown are the same
C. 2 B. The crown of tooth #17 is smaller than the crown of tooth #16
D. 3 C. The mesial-distal dimension of the crown is greater than the buccal-lingual
E. 4 dimension
D. The buccal-lingual dimension of the crown is greater than the mesial-dist-
10. In reviewing the patients medical history, he explains the brownish pig- al dimension
mentation has been present for most of his life. This is MOST likely due to which
of the following? 3. Formoterol Fumarate is a beta-adrenergic agonist used to maintain and treat
A. Tetracycline asthma. From the following list, please select the THREE items associated with
B. Smoking beta-adrenergic agonists.
C. Nutritional deficiencies A. Constricts bronchial smooth muscle
D. Fluorosis B. Relaxes bronchial smooth muscle
E. Dentinogenesis imperfecta C. Stimulates the enzyme adenylate cyclase
D. Induces negative inotropic output of cardiac muscle
E. Induces positive inotropic output of cardiac muscle
CASE SCENARIO 10 F. Induces negative chronotropic output of cardiac muscle
Age 9 YRS Scenario 4. Nitrous oxide is safe to administer to people with asthma, especially if their
asthma is triggered by anxiety. Asthmatics taking chronic steroids require corti-
Sex Male Patient is undergoing
costeroid augmentation.
Height 53 orthodontic treatment.
Oral hygiene is poor and
Weight 100 lbs. B. Both statements are false
there is generalized cer-
B/P 115/70 vical plaque and gingival
D. The first statement is false, the second is true
Chief Complaint Gums bleed easily. enlargement.
5. If tooth #17 is infected, then the infection will spread to each of the following
Medical History Tendency to bleed Patient is a known
fascial spaces EXCEPT one. Which one is the EXCEPTION?
thumb sucker.
Current Medications Unknown
A. Temporal
Social History Student B. Parotid
C. Masseteric
1. How many primary teeth remain in this patients mouth? D. Buccopharyngeal
A. 0
6. When sectioning tooth #17 to separate the roots and simplify extraction,
B. 4
which of the following best describes how the cut should be made?
C. 8
D. 12 A. Mesio-distally through the crown at the level of the CEJ
E. 18 B. Mesio-distally through the crown and furcation
C. Bucco-lingually through the crown and furcation
D. Bucco-lingually through the pulp horns
E. 4 dimension
thumb sucker.
A. Temporal
C. Masseteric
A. 0
B. 4
C. 8
7. Initially, lymphatic fluid from the area of infected tooth #17 will drain to which 4. The falciform ligament attaches the liver to the diaphragm. The coronary lig-
of the following nodes? aments attach the liver to the anterior body wall.
A. Submental A. Both statements are true
B. Submandibular B. Both statements are false
C. Superficial cervical C. The first statement is true, the second is false
D. Buccal D. The first statement is false, the second is true
E. Deep cervical
5. The patients hepatitis C is MOST likely to result in:
8. Which of the following immunoglobulins is most active in this patients respi- A. Development of chronic hepatitis
ratory diculties? B. Development of fulminant hepatitis
A. IgD C. Development of hepatocellular carcinoma
B. IgM D. Asymptomatic carrier state
C. IgG E. Resolution with eventual clearing of the virus
D. IgE
E. IgA 6. You are concerned about transmission of the patients virus. If it were to be
transferred, it would MOST likely involve which of the following routes?
9. Treatment of this patients respiratory symptoms includes each of the follow- A. Saliva contamination
ing EXCEPT one. Which one is the EXCEPTION? B. Oral-fecal
A. Beta-2 agonist inhalers C. Contaminated needle stick
B. Steroids D. Inhalation of aerosols
C. Mast cell stabilizers
D. Parasympathetic stimulation 7. Once the patient is dismissed, you clean the instruments and place them into
a dry heat sterilizer. Which of the following settings is most appropriate for an
10. Common manifestations of an asthma attack include each of the following oven type dry heat sterilizer?
EXCEPT one. Which one is the EXCEPTION? A. 273F for 20 minutes
A. Decreased surfactant B. 273F for 40 minutes
B. Airway edema C. 375F for 6-20 minutes
C. Increased mucous secretion D. 320F for 1-2 hours
D. Increased airway resistance E. 320F for 20 minutes
E. Bronchospasm
8. The greatest cementoenamel junction can be found on which of the follow-
ing teeth?
A. Mandibular central incisors
B. Maxillary central incisors
C. Mandibular canines
D. Mandibular lateral incisors
E. Maxillary lateral incisors
E. Deep cervical
D. IgE
E. Bronchospasm
ing teeth?
CASE SCENARIO 9 CASE SCENARIO 3
Age 25 YRS Scenario Age 28 YRS Scenario
Sex Male Patient presents with Sex Male The patient presents
Height 57 chipped crowns on teeth with bilateral pain in the
#8 and #10. The maxil- Height 62
TMJ upon closing. You
Weight 130 lbs. lary anterior teeth show Weight 280 lbs. notice tooth #30 has a
B/P 130/80 enamel mottling and 155/90 fractured DL cusp and
B/P
I just want a nice smile. discoloration. the remnants of an oc-
Chief Complaint Chief Complaint There is a clicking noise
clusal amalgam restora-
Medical History Hepatitis C when I close my mouth.
tion. #30 has been endo-
Current Medications Unknown Medical History Hypertension dontically treated.
Social History Tattoo artist Current Medications Lisinopril/HCTZ
Social History Painter
1. Hepatitis viruses are extremely heat resistant. Proper autoclaving kills all hep- Married & has 3 children
atitis viruses.
A. Both statements are true 1. Untreated hypertension may result in each of the following EXCEPT one. Which
B. Both statements are false one is the EXCEPTION?
D. The first statement is false, the second is true A. Cardiac failure
B. Liver failure
2. From the following list select THREE items associated with hepatitis C. C. Transient ischemic attack
D. Left ventricular hypertrophy
A. Non-enveloped virus
E. Renal failure
B. Enveloped virus
C. Picornavirus 2. From the following list select THREE items associated with hypertension.
D. Deltavirus
E. Flavivirus A. Decreased smooth muscle cell growth
F. ds DNA B. Smoking
G. ss RNA C. Decreased total cross-sectional area of capillaries and arteries
D. Obesity
3. Each of the following is a symptom of viral hepatitis EXCEPT one. Which one E. Physical activity
is the EXCEPTION? F. Increased arteriolar and capillary density
A. Fatigue 3. The patients blood pressure is classified as:
B. Myalgia
C. Cold intolerance A. Normal
D. Constipation B. Prehypertension
E. Jaundice C. Hypertension, Stage 1
D. Hypertension Stage 2

B/P
atitis viruses.
B. Liver failure
E. Renal failure
B. Enveloped virus
D. Deltavirus
D. Obesity
B. Myalgia
4. Which region of the articular surface of the patients TMJ is unlikely to be pres- 8. From the following list select THREE items associated with fungiform papillae.
ent? A. Rounded
A. Fibrocartilaginous layer B. Located mostly at the tip of the tongue
B. Fibrous articular layer C. Located in a V arrangement on the back of the tongue
C. Proliferative zone D. Do not contain taste buds
D. Subarticular zone E. Contain taste buds
E. Calcified cartilage F. Innervated by CN X
5. The occlusal shape of a mandibular first molar can be best described as: 9. The patients decrease in taste sensitivity is often referred to as:
A. Rhomboidal A. Ageusia
B. Circular B. Hypergeusia
C. Square C. Dysgeusia
D. Trapezoidal D. Hypogeusia
E. Rectangular
10. Oral evaluation reveals rampant caries. On which of the following surfaces is
6. The protrusive pathway of the mandibular cusps on the maxillary posterior pit and fissure caries MOST likely to occur?
teeth is toward the: A. Facial surfaces of maxillary first molars
A. Mesial B. Lingual surfaces of maxillary first molars
B. Distal C. Facial surfaces of mandibular first premolars
C. Facial D. Lingual surfaces of mandibular first molars
D. Lingual E. Proximal surfaces of mandibular incisors
7. If the patient delays treatment of tooth #30, which of the following is the most
likely consequence?
A. Supraeruption of tooth #3
B. Loss of canine protected occlusion
C. Loss of vertical dimension
D. Mesial drift of tooth #31
8. The temporomandibular joint can be classified as:
A. Synarthrosis
B. Amphiarthrosis
C. Fibrous
D. Cartilaginous
E. Synovial
9. The clicking noise the patient experiences is due to the condyle moving an-
teriorly past the disc. This noise can also be heard with lateral excursion to the
contralateral side.
B. Both statements are false
ent? A. Rounded
E. Rectangular
likely consequence?
A. Synarthrosis
B. Amphiarthrosis
C. Fibrous
D. Cartilaginous
E. Synovial
contralateral side.
2. Blood insulin is absent in type I diabetes mellitus. Blood insulin levels may be 10. During your examination, you notice a vertical root fracture on #30. It is de-
normal or decreased in type II diabetes mellitus. termined nonrestorable, and is extracted. Which of the following root mor-
A. Both statements are true phologies would you expect to see?
B. Both statements are false A. The roots are narrowly separated
C. The first statement is true, the second is false B. The distal root is broadest bucco-lingually
D. The first statement is false, the second is true C. Only the mesial root exhibits a concavity
D. The root trunk is shorter than the mandibular second molar
3. Which of the following organic compounds is a blood ketone?
A. Alpha-hydroxybutyric acid
B. Acetoacetic acid CASE SCENARIO 4
C. Glucagon
D. Delta-hydroxybutyric acid Age 69 YRS Scenario
4. Which of the following cells found in the pancreas is responsible for secreting Sex Female The patient presents
glucagon? Height 411 with an ill-fitting den-
ture. Upon removal, you
A. Alpha Weight 100 lbs. notice an asymptomatic,
B. Beta
B/P 135/85 erythematous cobble-
C. Delta
stone-like lesion on the
D. Acinar Chief Complaint My denture doesnt fit
mucosal tissue of the
E. Centroacinar right.
hard palate. Bone resorp-
5. The patients chief complaint is MOST likely due to which of the following Medical History History of infective endo- tion is apparent.
pathologies? carditis
Allergic to Penicillin
A. Systemic lupus erythematosus
B. Scleroderma Current Medications Unknown
C. Reiters syndrome Social History Retired
D. Bechets syndrome
E. Sjogrens syndrome 1. The hallmark symptom of infective endocarditis is:
6. Decreased salivation can cause rampant caries due to a(an): A. Fever
B. Fatigue
A. Increased number of oral bacteria C. Malaise
B. Increased number of oral bacteria resistant to antibiotics D. Headache
C. Shift to more acidogenic microflora E. Night sweats
D. Shift to less acidogenic microflora
2. Subacute (Bacterial) Endocarditis is typically caused by which of the follow-
7. A panoramic radiograph reveals excessive calcified tissue at the root apices of ing?
teeth #24 and #25. This is known as which of the following?
A. S. mutans
A. Concrescence
B. Staphylococcus aureus
B. Enamel pearls
C. Streptococcus viridans
C. Ankylosis
D. Actinomyces sp.
D. Cemental pearls
E. Hypercementosis
C. Glucagon
B. Beta
C. Delta
D. Bechets syndrome
B. Fatigue
A. S. mutans
A. Concrescence
B. Enamel pearls
C. Ankylosis
D. Actinomyces sp.
D. Cemental pearls
E. Hypercementosis
3. The patients medical history requires antibiotic prophylaxis before dental pro- 9. The loss of tooth structure has exposed the patients dentin. The organic com-
cedures. Splinter hemorrhages under fingernails are a common finding in pa- ponent of dentin is composed primarily of:
tients with infective endocarditis. A. Reticular fibers
A. Both statements are true B. Keratin fibers
B. Both statements are false C. Type I collagen fibers
C. The first statement is true, the second is false D. Type II and III collagen fibers
D. The first statement is false, the second is true E. Oxytalan fibers
4. Which of the following is an appropriate prescription for antibiotic prophy- 10. Which of the following is the most important infection control practice for re-
laxis for this patient? ducing nosocomial infections?
A. 2.0 g Amoxicillin IM or IV 1 hour before procedure A. Appropriate personal protective equipment
B. 2.0 g Amoxicillin PO 1 hour before procedure B. Engineering controls
C. 2.0 g Ampicillin PO 30 minutes before procedure C. Work practice controls
D. 350 mg Cephalexin PO 1 hour before procedure D. Hand washing
E. 600 mg Clindamycin PO 1 hour before procedure
5. The lesion found on the patients hard palate is MOST likely a: CASE SCENARIO 8
A. Papillary hyperplasia
B. Tori Age 40 YRS Scenario
C. Fibroma Sex Female The patient presents
D. Adenoma with a dry mouth and
Height 57
E. Sarcoma loss of taste. She also
Weight 195 lbs. complains of dry eyes.
6. The bone resorption seen in this patient may be enhanced with which of the
following hormones? B/P 150/90
A. Estrogen Chief Complaint My mouth is dry.

B. Insulin Medical History Mother has diabetes
C. Testosterone BMI is 32
D. Parathyroid hormone
E. Thyroid stimulating hormone
Social History Waitress
7. Continued abrasion of dentures on underlying mucosa will most likely result
in: 1. While reviewing the medical history, you learn that the patient recently began
A. Lining mucosa becoming gingival mucosa expressing the following symptoms: polyuria, polydipsia, polyphagia, and
B. Lining mucosa becoming masticatory mucosa blurred vision. This is MOST likely the result of:
C. Gingival mucosa becoming orthokeratinized A. Diabetes insipidus
D. Masticatory mucosa becoming parakeratinized B. Diabetes mellitus (type I)
C. Diabetes mellitus (type II)
D. Gestational diabetes
Height 57

4. The patient returns three months later with whitish plaques on the buccal mu- 8. The patient elects to have her ill-fitting dentures remade. The teeth in the new
cosa near the commissures. It resembles oral leukoplakia, and cannot be denture have been set up so the MB cusp of the maxillary first molar occludes dis-
removed. Which of the following classifications of candidiasis MOST closely aligns tally to the MB groove of the mandibular first molar. Which of the following BEST
with these symptoms? describes this occlusal classification?
A. Membranous A. Class I
B. Pseudomembranous B. Class II, division I
C. Atrophic C. Class II, division II
D. Chronic hyperplastic D. Class III
5. HIV contains reverse transcriptase and two strands of RNA. HIV replicates in the 9. Penicillins work by which of the following mechanisms?
cytoplasm. A. Inhibiting peptidoglycan cross-linking by binding to D-alanyl-D-alanine
A. Both statements are true B. Inhibiting protein synthesis by binding to 50S ribosomal subunits
B. Both statements are false C. Inhibiting protein synthesis by binding to 30S ribosomal subunits
C. The first statement is true, the second is false D. Inhibiting DNA synthesis
D. The first statement is false, the second is true E. Inhibiting peptidoglycan cross-linking by blocking transpeptidase
6. Which of the following proteins mediate attachment of HIV to CD4 T cells? 10. Psuedomembranous colitis, an overgrowth of C. dicile, is associated with
which of the following antibiotics?
A. gp120
B. gp8 A. Amoxicillin
C. gp41 B. Doxycycline
D. p24 C. Cephalexin
E. p27 D. Clindamycin
E. Erythromycin
7. The combination of the protein capsid and the nucleic acid is known as the:
A. Capsid
B. Lipid envelope
C. Glycoprotein spike
D. Matrix protein
E. Nucleocapsid
8. The patient often concocts drinks containing lemons and limes and is known
to snack from time to time. The loss of tooth structure is MOST likely due to which
of the following dental injuries?
A. Attrition
B. Abrasion
C. Abfraction
D. Erosion
A. gp120
E. Erythromycin
A. Capsid
B. Lipid envelope
D. Matrix protein
E. Nucleocapsid
A. Attrition
B. Abrasion
C. Abfraction
D. Erosion
Age 45 YRS Scenario
Age 10 YRS Scenario
Sex Male The patient presents
Sex Male The patient presents for
Height 511 with thick cream-colored
Height 52 an emergency appoint-
deposits on the dorsal
ment. A hockey puck Weight 195 lbs.
Weight 110 lbs. aspect of his tongue.
struck his anterior max-
B/P 125/80
B/P 110/75 illa. Upon examination, Oral examination reveals
Chief Complaint There are white spots on loss of tooth structure on
Chief Complaint My front teeth hurt. you note bleeding
my tongue. the facial aspect of his
around the maxillary
Medical History Scarlet fever at age 7 anterior teeth.
central incisors and 1.5 Medical History HIV+
Current Medications None mm of mobility bucco-
Current Medications Combivir
Social History Student lingually, but no vertical
mobility. Social History Bartender
Plays hockey
A panoramic radiograph
1. The cream-colored deposits located on the patients tongue can be easily
reveals congenitally wiped o. This condition is MOST likely due to:
missing mandibular sec-
ond premolars A. Clostridium perfringens
B. Candida albicans
C. Pseudomonas aeruginosa
1. Scarlet fever is a disease caused by infection with which of the following bac-
D. Staphylococcus aureus
teria?
A. Group A Streptococci 2. The patients chief complaint is often associated with immunosuppression. It
B. Group B Streptococci may also be associated with an ill-fitting denture, prolonged use of antibiotics,
C. Group C Streptococci or periodontitis.
D. Staphylococci aureus A. Both statements are true
E. Staphylococci epidermidis D. Both statements are false
2. Which of the following describes the distal contact (inciso-cervical direction) D. The first statement is false, the second is true
of a maxillary lateral incisor?
A. Incisal third 3. In treating the patients chief complaint, a dentist might consider each of the
B. Cervical line following medications EXCEPT one. Which one is the EXCEPTION?
C. Middle third A. Clotrimazole
D. Cervical third B. Topical nystatin
C. Fluconazole
3. According to the Miller classification, this patients mobility would be best de- D. Cephalosporin
scribed as: E. Chlorhexidine gluconate
A. Class I
B. Class II
C. Class III
D. Class IV

Age 45 YRS Scenario
Age 10 YRS Scenario
B/P 125/80
Plays hockey
B. Candida albicans
teria?
C. Fluconazole
A. Class I
B. Class II
C. Class III
D. Class IV
7. Examination of a portion of the mandible shows a torn piece of muscle at- 4. Upon further examination, you notice laceration of the patients lips. Which
tached to the zygomatic process of the maxilla. This is MOST likely the: of the following arteries is most likely the source of the bleeding?
A. Masseter A. Nasopalatine artery
B. Temporalis B. Buccal branch of the maxillary artery
C. Medial pterygoid C. Incisive branches of the infraorbital artery
D. Lateral pterygoid D. Labial branches of the facial artery
E. Nasal branches of the facial artery
8. You examine a tooth with a square occlusal shape and a prominent mesiolin-
gual developmental groove. This tooth is MOST likely a: 5. From the following list select TWO nerves associated with the maxillary cen-
A. Mandibular canine tral incisors.
B. Maxillary first premolar A. Nasopalatine nerve
C. Mandibular first molar B. Posterior superior alveolar nerve
D. Mandibular second premolar C. Greater (anterior) palatine nerve
E. Mandibular first premolar D. Middle superior alveolar nerve
E. Anterior superior alveolar nerve
9. One piece of soft tissue contains obvious glandular tissue. Histological exam-
ination reveals that it is composed of purely mucous acini. This is MOST likely 6. A radiograph of the maxillary central incisors reveals a radiolucency between
which of the following glands? the roots of teeth #8 and #9. Which of the following is the MOST likely reason for
A. Buccal this?
B. Parotid A. Mesiodens
C. Sublingual B. Peg lateral incisor
D. Submandibular C. Maxillary sinus
E. Posterior palatal D. Incisive foramen
E. Greater palatine canal
10. You examine a tooth with a measured root length of 13.5 mm. This tooth is
MOST likely a: 7. A panoramic radiograph of the patient reveals each of the following features
A. Maxillary central incisor EXCEPT one. Which one is the EXCEPTION?
B. Mandibular central incisor A. Permanent maxillary central incisors with complete root formation
C. Mandibular first premolar B. Permanent mandibular central incisors with complete root formation
D. Maxillary canine C. Partially erupted permanent mandibular canines with incomplete root
E. Mandibular canine formation
D. Fully erupted mandibular first molars with complete root formation
E. Partially erupted mandibular first premolars with complete root formation
8. The patients mother is concerned about the bumps on the front teeth.
These round extensions of enamel are called:
A. Lobes
B. Mamelons
C. A cingulum
D. Tubercles
A. Buccal this?
A. Lobes
B. Mamelons
C. A cingulum
D. Tubercles
9. Streptococci are classified by lysis of erythrocytes when plated on blood agar. 2. From the following list select THREE items associated with the malar bone.
This process is called: A. Located in the lower and medial part of the face
A. Cytolysis B. Prominence of the frontal bone
B. Plasmolysis C. Part of the lateral wall and floor of the orbit
C. Hemolysis D. Parts of the temporal and infratemporal fossae
D. Enterolysis E. Articulates with the frontal bone and the temporal bone
F. Articulates with the maxilla and the temporal bone
10. Heredity is most frequently responsible for congenitally missing teeth. In this
case, you would want to retain the primary second molar for as long as possible. 3. The orbit is composed of each of the following bones EXCEPT one. Which one
A. Both statements are true is the EXCEPTION?
B. Both statements are false A. Sphenoid
C. The first statement is true, the second is false B. Zygoma
D. The first statement is false, the second is true C. Ethmoid
D. Temporal
E. Lacrimal
CASE SCENARIO 6
4. The ophthalmic artery, a branch of the external carotid artery, is the major
blood supply to the orbit and eye. It enters the orbit with the optic nerve via the
Age Unknown Scenario
optic canal.
Sex Unknown You are called in to assist
Height Unknown in the postmortem identi- B. Both statements are false
fication of an unknown C. The first statement is true, the second is false
Weight Unknown
person. Parts of a cadaver D. The first statement is false, the second is true
B/P Unknown are presented, including
portions of the skull with 5. The greater wing of the sphenoid contains each of the following foramina
Chief Complaint Unknown
bones, teeth, and intact
EXCEPT one. Which one is the EXCEPTION?
Medical History Unknown A. Rotundum
soft tissue.
Current Medications Unknown B. Ovale
Examination of the skull C. Lacerum
Social History Unknown reveals a fracture running D. Spinosum
through the pterygomax-
illary fissure. 6. Examination of a remnant of the cranial base exhibits a fracture of the sulcus
chiasmaticus. Damage to this area typically results in which of the following con-
1. Which of the following structures is MOST likely aected by the fracture? ditions?
A. Sphenopalatine artery A. Tunnel vision
B. Greater palatine nerve B. Loss of sense of taste
C. Lesser palatine nerve C. Loss of sense of smell
D. Posterior superior alveolar nerve D. Damage to optic chiasm
E. Damage to speech areas
9. Streptococci are classified by lysis of erythrocytes when plated on blood agar. 2. From the following list select THREE items associated with the malar bone.
This process is called: A. Located in the lower and medial part of the face
A. Cytolysis B. Prominence of the frontal bone
B. Plasmolysis C. Part of the lateral wall and floor of the orbit
C. Hemolysis D. Parts of the temporal and infratemporal fossae
D. Enterolysis E. Articulates with the frontal bone and the temporal bone
10. Heredity is most frequently responsible for congenitally missing teeth. In this
case, you would want to retain the primary second molar for as long as possible. 3. The orbit is composed of each of the following bones EXCEPT one. Which one
A. Both statements are true is the EXCEPTION?
B. Both statements are false A. Sphenoid
C. The first statement is true, the second is false B. Zygoma
D. The first statement is false, the second is true C. Ethmoid
D. Temporal
E. Lacrimal
CASE SCENARIO 6
Age Unknown Scenario
optic canal.
Sex Unknown You are called in to assist
Height Unknown in the postmortem identi- B. Both statements are false
fication of an unknown C. The first statement is true, the second is false
Weight Unknown
person. Parts of a cadaver D. The first statement is false, the second is true
B/P Unknown are presented, including
portions of the skull with 5. The greater wing of the sphenoid contains each of the following foramina
Chief Complaint Unknown
bones, teeth, and intact
Medical History Unknown A. Rotundum
soft tissue.
Current Medications Unknown B. Ovale
Examination of the skull C. Lacerum
Social History Unknown reveals a fracture running D. Spinosum
through the pterygomax-
illary fissure. 6. Examination of a remnant of the cranial base exhibits a fracture of the sulcus
1. Which of the following structures is MOST likely aected by the fracture? ditions?
A. Sphenopalatine artery A. Tunnel vision
B. Greater palatine nerve B. Loss of sense of taste
C. Lesser palatine nerve C. Loss of sense of smell
D. Posterior superior alveolar nerve D. Damage to optic chiasm
2. From the following list select FOUR items associated with the malar bone.
A. Located in the lower and medial part of the face
B. Prominence of the frontal bone
C. Part of the lateral wall and floor of the orbit
D. Parts of the temporal and infratemporal fossae
E. Articulates with the frontal bone and the temporal bone
3. The orbit is composed of each of the following bones EXCEPT one. Which one
is the EXCEPTION?
A. Sphenoid
B. Zygoma
C. Ethmoid
D. Temporal
E. Lacrimal
optic canal.
5. The greater wing of the sphenoid contains each of the following foramina
A. Rotundum
B. Ovale
C. Lacerum
D. Spinosum
6. Examination of a remnant of the cranial base exhibits a fracture of the sulcus

ditions?
A. Tunnel vision
B. Loss of sense of taste
C. Loss of sense of smell
D. Damage to optic chiasm
A. Buccal this?
A. Lobes
B. Mamelons
C. A cingulum
D. Tubercles
A. Buccal this?
A. Lobes
B. Mamelons
C. A cingulum
D. Tubercles
Age 45 YRS Scenario
Age 10 YRS Scenario
B/P 125/80
Plays hockey
B. Candida albicans
teria?
C. Fluconazole
A. Class I
B. Class II
C. Class III
D. Class IV

Age 45 YRS Scenario
Age 10 YRS Scenario
B/P 125/80
Plays hockey
B. Candida albicans
teria?
C. Fluconazole
A. Class I
B. Class II
C. Class III
D. Class IV
A. gp120
E. Erythromycin
A. Capsid
B. Lipid envelope
D. Matrix protein
E. Nucleocapsid
A. Attrition
B. Abrasion
C. Abfraction
D. Erosion
A. gp120
E. Erythromycin
A. Capsid
B. Lipid envelope
D. Matrix protein
E. Nucleocapsid
A. Attrition
B. Abrasion
C. Abfraction
D. Erosion
Height 57

Height 57

C. Glucagon
B. Beta
C. Delta
D. Bechets syndrome
B. Fatigue
A. S. mutans
A. Concrescence
B. Enamel pearls
C. Ankylosis
D. Actinomyces sp.
D. Cemental pearls
E. Hypercementosis
C. Glucagon
B. Beta
C. Delta
D. Bechets syndrome
B. Fatigue
A. S. mutans
A. Concrescence
B. Enamel pearls
C. Ankylosis
D. Actinomyces sp.
D. Cemental pearls
E. Hypercementosis
ent? A. Rounded
E. Rectangular
likely consequence?
A. Synarthrosis
B. Amphiarthrosis
C. Fibrous
D. Cartilaginous
E. Synovial
contralateral side.
ent? A. Rounded
E. Rectangular
likely consequence?
A. Synarthrosis
B. Amphiarthrosis
C. Fibrous
D. Cartilaginous
E. Synovial
contralateral side.
B/P
atitis viruses.
B. Liver failure
E. Renal failure
B. Enveloped virus
D. Deltavirus
D. Obesity
B. Myalgia

B/P
atitis viruses.
B. Liver failure
E. Renal failure
B. Enveloped virus
D. Deltavirus
D. Obesity
B. Myalgia
E. Deep cervical
D. IgE
E. Bronchospasm
ing teeth?
E. Deep cervical
D. IgE
E. Bronchospasm
ing teeth?
E. 4 dimension
thumb sucker.
A. Temporal
C. Masseteric
A. 0
B. 4
C. 8
E. 4 dimension
thumb sucker.
A. Temporal
C. Masseteric
A. 0
B. 4
C. 8
hurt!
tooth #17. D. X
Albuterol inhaler
A. Cervical line
hurt!
tooth #17. D. X
Albuterol inhaler
A. Cervical line
7. Which of the following disorders is characterized by a qualitative platelet de-
fect resulting in impaired platelet adhesion?
A. von Willebrands
B. Hemophilia A
C. Hemophilia B
D. Hemophilia C
8. Which of the following primary teeth is MOST likely to be mobile in this patient
due to the eruption of the succedaneous tooth?
A. F
B. G
C. H
D. I
9. This patients poor habit is often associated with which of the following mal-
occlusions?
A. Class I
B. Class II, division I
C. Class II, division II
D. Class III
Which of the following BEST describes this type of alveolar bone?
A. Woven
B. Compact
C. Cementum
D. Endochondral
E. Intramembranous
7. Which of the following disorders is characterized by a qualitative platelet de- 4. In primary hypothyroidism, the pituitary does not make enough TSH.
fect resulting in impaired platelet adhesion? Hypothyroidism aects males more than females.
A. von Willebrands A. Both statements are true
B. Hemophilia A B. Both statements are false
C. Hemophilia B C. The first statement is true, the second is false
D. Hemophilia C D. The first statement is false, the second is true
8. Which of the following primary teeth is MOST likely to be mobile in this patient 5. From the following list select the THREE symptoms associated with this
due to the eruption of the succedaneous tooth? patients autoimmune disorder.
A. F A. Weight loss
B. G B. Dry skin
C. H C. Diarrhea
D. I D. Tearing
9. This patients poor habit is often associated with which of the following mal- 6. The abscess around tooth #2 may result in which of the following life-threat-
occlusions? ening situations?
A. Class I A. Hyperalgesia
B. Class II, division I B. Hypoalgesia
C. Class II, division II C. Ludwigs angina
D. Class III D. Non-vital pulp
E. Referred pain
Which of the following BEST describes this type of alveolar bone? 7. Which of the following nerve fibers is responsible for the patients sharp pain
A. Woven around tooth #2?
B. Compact A. A alpha
C. Cementum B. A beta
D. Endochondral C. A delta
E. Intramembranous D. B
E. C
8. If the patient elects root canal therapy for tooth #2, which of the following
best describes the MOST likely presentation of the pulp canals?
A. Three canals, one in each root
B. Four canals, two in the mesial-buccal, one in the distal-buccal, one in the
palatal
C. Four canals, one in the mesial-buccal, two in the distal-buccal, one in the
palatal
D. Four canals, one in the mesial-buccal, one in the distal-buccal, two in the
palatal
E. Five canals, two in the mesial-buccal, two in the distal-buccal, one in the
palatal
ANSWER KEYS

1 D 1 C 1 B 1 A 1 A
2 D 2 C 2 B, C, D 2 C 2 C
3 E 3 B, C, E 3 C 3 A 3 B
4 B 4 C 4 C 4 E 4 D
5 B, E, F 5 A 5 D 5 A 5 A, E
6 C 6 C 6 B 6 D 6 D
7 C 7 E 7 A 7 C 7 E
8 B 8 D 8 E 8 D 8 B
9 A 9 D 9 D 9 E 9 C
10 D 10 A 10 D 10 D 10 A

1 D 1 B 1 C 1 A 1 D
2 C, D, E, F 2 C 2 C 2 B, E, G 2 D
3 D 3 D 3 B 3 C 3 E
4 D 4 D 4 A 4 B 4 B
5 C 5 C 5 E 5 A 5 C
6 D 6 A 6 C 6 C 6 C
7 A 7 E 7 E 7 D 7 A
8 E 8 D 8 A, B, E 8 B 8 D
9 C 9 C 9 D 9 E 9 B
10 D 10 D 10 B 10 D 10 E

ing components:
for examples).


ing components:
for examples).

Occlusion chart
Maxillary
1P 2P 1M 2M
M O O C O C
D D C O C O
1P 2P 1M 2M
Mandibular
Occlusion chart
Maxillary
1P 2P 1M 2M
M O O C O C
D D C O C O
1P 2P 1M 2M
Mandibular
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Part I Testlet
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Medicine is an ever-changing science. As new research

A few tips on how to prepare for the Clinical Vignette

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Universal tooth numbering system.

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Social History Housewife 7 C 7 E 7 A 7 C 7 E

ANSWER KEY CASES 6 10

A. Lactobacillus sp. Case 6 Case 7 Case 8 Case 9 Case 10

CASE SCENARIO 1 ANSWER KEYS

Social History Housewife 7 C 7 E 7 A 7 C 7 E

ANSWER KEY CASES 6 10

A. Lactobacillus sp. Case 6 Case 7 Case 8 Case 9 Case 10

CASE SCENARIO 9 CASE SCENARIO 3

A. Estrogen Chief Complaint My mouth is dry.

A. Estrogen Chief Complaint My mouth is dry.

CASE SCENARIO 5 CASE SCENARIO 7

6. Examination of a remnant of the cranial base exhibits a fracture of the sulcus

CASE SCENARIO 5 CASE SCENARIO 7

A. Estrogen Chief Complaint My mouth is dry.

A. Estrogen Chief Complaint My mouth is dry.

CASE SCENARIO 9 CASE SCENARIO 3

ANSWER KEY CASES 1 5

ANSWER KEY CASES 6 10

A few tips on how to prepare for the Clinical Vignette

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Universal tooth numbering system.

A few tips on how to prepare for the Clinical Vignette

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